Billing Manager

Health Plans Inc•Remote, US,

7d•$88,236 - $101,861•Onsite

About The Position

The Billing Manager plays a pivotal role in the third party administrator, overseeing billing operations to ensure accuracy, compliance, and efficiency. This position combines leadership, technical expertise, and a strong understanding of billing processes. The Billing Manager is responsible for guiding a team, optimizing workflows, and maintaining high standards of customer service. At HPI, we are a forward-thinking, national third-party administrator (TPA) specializing in self-funded health plan solutions. With over 44 years of industry expertise, our entrepreneurial spirit, flexible approach, and personalized service have empowered us to serve clients of all sizes across diverse industries. We deliver innovative strategies that maximize the value of every healthcare dollar. The self-funded health plan landscape is constantly evolving. At HPI, our partners benefit from having a TPA with the expertise, resources, and creativity to deliver customized plan solutions that help them win and retain more business. We excel at driving costs down and managing risk, while enhancing our clients’ employees’ health insurance experience. Our goal is to help members clearly understand their health plan and provide responsive service, enabling them to fully utilize their benefits and achieve greater health. Our commitment extends beyond our clients to our own employees. We foster a supportive and inclusive work environment where innovation thrives. By investing in our team’s growth and well-being, we ensure they are equipped to provide exceptional service.

Requirements

5-7 years of experience in Finance department at a third-party administrator of health plans in billing
Strong organizational skills with the ability to manage multiple priorities
Exceptional attention to detail and accuracy
Proven ability to meet deadlines in a fast-paced environment
Effective verbal and written communication skills; experienced in collaborating with internal teams, vendors, and customers to resolve inquiries
Skilled at working cross-functionally to identify and resolve business process challenges
Excellent knowledge of MS office and familiarity with relevant computer software (e.g. SAP)
Proficient in Microsoft Office, including Word, Excel, Outlook and PowerPoint.

Nice To Haves

ACA, ACCA or CIMA is a plus

Responsibilities

Supervise, mentor, and train billing team members.
Foster a collaborative and positive work environment.
Assign tasks and monitor performance to ensure targets are met.
Oversee daily billing activities, including billing coordination, billing, and reconciliation.
Ensure timely and accurate submission of invoices to clients.
Review and resolve billing discrepancies or errors.
Maintain up-to-date knowledge of industry regulations and payer requirements.
Ensure billing practices comply with HIPAA and other relevant standards.
Conduct regular audits to identify and correct issues.
Address escalated billing inquiries from clients.
Provide clear explanations of billing procedures and resolve concerns promptly.
Support the team in delivering excellent service.
Identify opportunities to streamline billing workflows.
Implement best practices and new technologies to enhance efficiency.
Collaborate with other departments to optimize cross-functional processes.
Generate and analyze billing reports to track performance metrics.
Present findings and recommendations to management.
Monitor key indicators such as billing accuracy and invoice punctuality.
Prior experience in leading the Billing department in software migrations
Ability to successfully lead the migration of the Medcost clients from the PowerStepp system to the Javelina system.
Other duties as assigned by the Finance Department management team.